HomeMy WebLinkAbout0098376-Electric (correct Violatons)
.~'.'e'
OSHKOSH
ON THE WATER
Job Address 1515 GALWAY CT
CITY OF OSHKOSH
No 98376
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
TIMOTHY P/PAULA MUEHLER
Create Date 11/04/2002
Contractor
WITZKE ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
Service
p New
o Change
o Temp
Volts
Circuits
Type 0 Overhead
o
o Underground
Fixtures
o
Amps
o
Switches
o
Receptacles
o
Appliances
Use/Nature of SFRI Correct all code violations per correction notice.
Work
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$20,00
Issued By:
Date 11/04/2002
o Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
PO BOX 102 155 E PACKER AVE
OSHKOSH
WI 54903 - 102
Telephone Number 920-235-6572
':""'!'
Git)"of Osb;os:-.
Division oflr:s;,ection Se".i:es
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920) 236-5084
NOV 0 1 2002
E~~~f:!.!l~::~,~~f~~~*-:N
Incomplete applications will' rf(Jf~JPDE~tVPMENT
· Application(s) and fee( s) can be brought to City Hall. Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh \\7154903-1128. Commencing work without permit(s) will result in fees being doubled or S100.00 plus the
normal permit fee, v,'hich ever is greater.
OR
:)N T.....: V:'AiEFI:
J(vou are c contractor vanici atino in The Permit Fee AccounT 51'STem and have adeauate funds, check here
i(vou wanT this TJrocessed rhrouf!h l'our accounT J
JOB ADDRESS 15 e.5 Gc.<.-.\W o.-r' (O,-,,-.r-\~
€
,.....-r"/. " .N"\ M t '\
O\\'1\"'ER f . l I l t-I....E'- "'- "iL.f
CONTR<\CTOR VJ (. t zke- Efccl"'G 'Xnc.
DATE
/() ,..30 "'Od
. .~, "
.,
CHECK 0' ALL A,..PPLICABLE
USE CATEGORY
}Bsingle Family
ODuplex
DMulti-Family
ORental DCommercial o Industrial
T):'PE DOverhead J'l"'Jot Applicable
DUnderground
SERVICE DNew
DChange
o Temporary
~'\iot Applicable
FILL IN THE APPROPRIATE BLAi"\K \\1TH THE l\"1J'MBER
Volts
Phase
Amps
/
Receptacles #-
Circuits '#
Switches :#
Fixtures '#
CHECK 0' ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFurnace
OGas Pumps
DGarbage Disposal
DAJC
DOther
o Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK; BEING DONE
U~ 0 \ Ot..- -\. \ t') ~ <> ".c:!...-t
I
(e H "- d- ~~
,/tJv..f' (0 ~ oS ~d~~V\
~~
\~~
,
MASTER ELECTRICLL\.~
.500
::r -€- J -.M..: +
If ~o
r
~~
3/02